P09 Statement of Work 36C26223Q1764 UST AST Repairs.doc

STATEMENT OF WORK (SOW)

08/28/2023

1. Contract Title: Underground and Above-ground Storage Tank Repairs

2. Background:

VA Greater Los Angeles Healthcare System (VAGLAHS), West Los Angeles VA Medical Center requires repairs to underground and above-ground storage tanks to achieve compliance with the City of Los Angeles.

3. Scope:

The contractor shall provide required supplies, equipment, and personnel needed to complete the repair of multiple underground and above-ground storage tanks located at the West Los Angeles VA Medical Center. Contractor shall provide all required items for the requirement described in this statement of work. Contractor shall provide equipment, supplies, and perform work in strict accordance with the Specifications, Statement of Work, schedule, and all other supporting documents required for this contract.

4. Tasks:

The following tasks shall be performed within the West Los Angeles VA Medical Center for the associated buildings.

4.1 Building 300

· Permitting and Plans submitted and approved by LA City Fire CUPA.

· Notify/Mark for Underground Service Tank Service Alert.

· Barricade and Secure Work Areas.

· Provide and replace spill bucket, nipple, adaptor, and cap at Building 300.

· Submission of Test Results by Los Angeles Fire Department – CUPA.

· Final Inspection and Testing by Los Angeles Fire Department – CUPA.

· Provide On-Site Documentation of Work performed.

· Removal of all barricades and debris

4.2 Building 501

· Permitting and Plans submitted and approved by LA City Fire CUPA.

· Notify/Mark for Underground Service Tank Service Alert.

· Barricade and Secure Work Areas.

· Provide and replace Bad Veeder Root probe and Diesel float kit at Building 501

· Submission of Test Results by Los Angeles Fire Department – CUPA.

· Final Inspection and Testing by Los Angeles Fire Department – CUPA.

· Provide On-Site Documentation of Work performed.

· Removal of all barricades and debris

4.3 Building 295 - Upper

· Permitting and Plans submitted and approved by LA City Fire CUPA.

· Notify/Mark for Underground Service Tank Service Alert.

· Barricade and Secure Work Areas.

· Provide and replace L1 420 Interstitial sensor at Building 295 Upper

· Submission of Test Results by Los Angeles Fire Department – CUPA.

· Final Inspection and Testing by Los Angeles Fire Department – CUPA.

· Provide On-Site Documentation of Work performed.

· Removal of all barricades and debris

5. Place of Performance.

Department of Veterans Affairs

Greater Los Angeles VA Healthcare System

West Los Angeles VA Medical Center

Building 295 – Upper, 300, and 501

11301 Wilshire Blvd.

Los Angeles, CA 90073 – 1003

4. Period of Performance.

09/20/2023 – 12/19/2023

5. Security Requirements The C&A requirements do not apply, and Security Accreditation Package is not required.

This service does not involve Contractor connection of one or more contractor-owned IT devices (such as laptop computer or remote connection from a contractor system) to a VA internal trusted (i.e., non-public network) therefore Information Technology (IT) Security certification and accreditation (authorization) (C&A) requirements do not apply per VA Handbook 6500.6.

6. Changes:

Only those services specified herein are authorized, before performing any service of non-contract nature, the Contractor shall advise the Contracting Officer of the reasons for the additional work. Changes to the resulting contract are not authorized, unless in writing by the Contracting Officer.

7. Identification, Check-in, Parking, and Smoking Regulations

Identification

The vendor's employees shall wear visible identification at all times while on VAGLAHCS premises. Contractor employees shall report to VA Police upon entry to the VAGLAHCS facility to get a visitor badge. Contractor employees are required to be escorted by the COR or designee’s office once on campus prior to commencement of work. During emergencies contractor personnel shall check in with VAGLAHCS Police if the VAGLAHCS COR or designee is not available.

Parking

It is the responsibility of the contract personnel to park in the appropriate designated parking areas. Parking information is available from VA Police & Security Service Office. The Contractor assumes full responsibility for any parking violations.

Smoking

Veterans Health Administration (VHA) Directive 1085, dated March 5, 2019, provides a comprehensive smoke-free policy for patients, visitors, contractors, volunteers, and vendors, at the Department of Veterans Affairs (VA), Veterans Health Administration (VHA) health care facilities. This updated VHA directive implements a smoke-free policy for patients, visitors, contractors, volunteers, and vendors at VA health care facilities, as defined in this directive, based on scientific evidence regarding the adverse health effects of secondhand and thirdhand smoke exposures.

The Assistant Deputy Under Secretary for Health for Administrative Operations (10NA) and the Assistant Deputy Under Secretary for Health for Clinical Operations (10NC) are responsible for the contents of this directive. Questions may be referred to VHA Smoke Free: vhasmokefree@va.gov.

This VHA directive is scheduled for recertification on or before the last working day of March 2024. This VHA directive will continue to serve as national VHA policy until it is recertified or rescinded.

Weapons and Contraband

Possession of weapons or contraband is prohibited and shall be subject to arrest and termination from future performance under this contract. Enclosed containers, including tool kits, shall be subject to search. Violations of VAGLAHCS regulations may result in citation answerable in the United States (Federal) District Court, not a local district, state, or municipal court.

Safety

All personnel employed by the Contractor in the performance of this contract, or any representative of the Contractor entering on VAGLAHCS shall comply with applicable Federal, State, and VA safety and fire regulations and codes, which are in effect during the performance period of the contract.

Contractor shall perform work in strict accordance with existing relevant, accredited standards and codes to minimize the possibility of injury to personnel, or damage to Government equipment. Every effort shall be made to safeguard human life and property.

Contractor shall comply with all applicable Federal, State, and local requirements regarding workers’ health and safety. The requirements include, but are not limited to, those found in Federal and State Occupational Safety and Health Act (OSHA) statutes and regulations, such as applicable provisions of Title 29, Code of Federal Regulations (CFR), Parts 1910 and 1926, NFPA 70E, Article 130.7 29 CFR 1910.132(d)(1)(iii), 29CFR1910.137.

Contractor shall provide all necessary tools, and Personal Protective Equipment (PPE) to perform the work safely, effectively, and timely.

8. Contractor Personnel

Contractor’s Program Manager

The Contractor shall provide a contract program manager who shall be responsible for the performance of the work. The name of this person shall be designated in writing to the Contracting Officer. The Contractor’s Program Manager shall have full authority to act for the Contractor on all contract matters relating to daily operation of this contract.

Contractor’s Employees

The Contractor shall not employ persons for work on this contract if such employee is identified to the Contractor as a potential threat to the health, safety, security, general well-being or operational mission of the installation and its population.

Contract Personnel shall be subject to the same quality assurance standards or exceed current recognized national standards as established by the Joint Commission (JC).

9. Contractor Qualifications & Other Responsibilities

License requirements:

Underground Storage tank license (A) or Equivalent State License.

Contractor shall obtain all necessary licenses required to perform this work. Contractor shall take all precautions necessary to protect persons and property from injury or damage during the performance of this contract. Contractor shall be responsible for any injury to himself/herself, his/her employees, or others, as well as for any damage to personal or public property that occurs during the performance of this contract that is caused by him/her or his/her employees’ fault or negligence. Contractor shall maintain personal liability and property damage insurance prescribed by the laws of the Federal Government.

The Government reserves the right to accept or reject Contractor’s employee for the rendering of services. Complaints concerning Contract Personnel’s performance or conduct will be dealt with by the Contractor and COR with the final decision being made by the Contracting Officer.

10. Insurance Coverage

The Contractor agrees to procure and maintain, while the contract is in effect, Workers Compensation and Employee’s Public Liability Insurance in accordance with Federal and State of California laws. The Contractor shall be responsible for all damage to property, which may be done by him, or any employee engaged in the performance of this contract.

The Government shall be held harmless against any or all loss, cost, damage, claim expense or liability whatsoever, because of accident or injury to persons or property of others occurring in the performance of this contract.

Before commencing work under this contract, the Contracting Officer shall require the Contractor to furnish certification from his/her insurance company indicating that the coverage specified by FAR 52.228-5 and per FAR Subpart 28.307-2 has been obtained and that it may not be changed or canceled without guaranteed thirty (30) day notice to the Contracting Officer.

Contractor is required to provide copies of proof of Workers Compensation and Employee Public Liability Insurance within fifteen (15) calendar days after notification of contract award.

11. Invoicing

Invoices

Payment of services rendered under this contract shall be made in arrears upon satisfactory completion of each service and receipt of a properly prepared invoice and submitted by the Contractor to the payment address specified by Contracting. Invoices shall reference the Contract Number and Purchase Order Number, Manifest Number(s), provide a complete and accurate description of services/ supplies delivered/ rendered, including dates of performance, amounts, unit prices, extended totals and any other data relevant for payment purposes.

The Government shall not authorize payment until such time that the VAGLAHCS COR all properly executed and signed documentation.

No advance payments shall be authorized. Payment shall be made on a monthly arrears for services provided during the billing month in arrears in accordance with FAR 52.212-4, para. (i). Upon submission of a properly prepared invoice for prices stipulated in this contract for services delivered and accepted in accordance with the terms and conditions of the contract, less any deductions stipulated in this contract.

Payment of invoices may be delayed if the appropriate invoices as specified in the contract are not completed and submitted as required.